<div class="{{$viewClass['form-group']}}">

    <label class="{{$viewClass['label']}} control-label">{{$label}}</label>

    <div class="{{$viewClass['field']}}">

        @include('admin::form.error')
        <div class="input-group input-group-sm">
          <div class="input-group-prepend">
            <span class="input-group-text" id="inputGroup-sizing-sm">右</span>
          </div>
          <input type="text" name="{{ $name }}[0]" class="form-control" placeholder="右眼球镜度数" value="{{ \Illuminate\Support\Arr::get($value, '0', '') }}">
          <div class="input-group-prepend">
            <span class="input-group-text" id="inputGroup-sizing-sm">DS</span>
          </div>
          <input type="text" name="{{ $name }}[1]" class="form-control" placeholder="右眼柱镜度数" value="{{ \Illuminate\Support\Arr::get($value, '1', '') }}">
          <div class="input-group-append">
            <label class="input-group-text" for="inputGroupSelect02">DC</label>
          </div>
          <input type="text" name="{{ $name }}[1]" class="form-control" placeholder="右眼散光曲位" value="{{ \Illuminate\Support\Arr::get($value, '2', '') }}">
          <div class="input-group-append">
            <label class="input-group-text" for="inputGroupSelect02">A</label>
          </div>
        </div>
        <div class="input-group input-group-sm">
          <div class="input-group-prepend">
            <span class="input-group-text" id="inputGroup-sizing-sm">左</span>
          </div>
          <input type="text"  name="{{ $name }}[2]" class="form-control" placeholder="左眼球镜度数" value="{{ \Illuminate\Support\Arr::get($value, '3', '') }}">
          <div class="input-group-prepend">
            <span class="input-group-text" id="inputGroup-sizing-sm">DS</span>
          </div>
          <input type="text"  name="{{ $name }}[3]" class="form-control" placeholder="左眼柱镜度数" value="{{ \Illuminate\Support\Arr::get($value, '4', '') }}">
          <div class="input-group-append">
            <label class="input-group-text" for="inputGroupSelect02">DC</label>
          </div>
          <input type="text"  name="{{ $name }}[3]" class="form-control" placeholder="左眼散光曲位" value="{{ \Illuminate\Support\Arr::get($value, '5', '') }}">
          <div class="input-group-append">
            <label class="input-group-text" for="inputGroupSelect02">A</label>
          </div>
        </div>
        @include('admin::form.help-block')

    </div>
</div>

<script init="{!! $selector !!}">
</script>